MATERNAL PHYSIOLOGICAL CHANGES
NURSING CARE DURING POSTPARTUM
POSTPARTUM COMPLICATIONS
NEWBORN PHYSIOLOGICAL CHANGES
HIGH RISK NEWBORN
100

Within 12 hrs following birth, where would the nurse expect to locate this woman’s fundus?

What is at the umbilicus

100

The most likely cause of postpartum hemorrhage in a woman whose labor was augmented with Pitocin is:

What is uterine atony.

100

Greater than 500 ml blood loss after vaginal delivery and greater than 1000 ml after cesarean birth

What is postpartum hemorrhage

100
The first stage of the transition period last up to 30 minutes after birth
What is first period of reactivity
100
The most common cause of pathologic hyperbilirubinemia is:
What is hemolytic disorders in the newborn
200
Uncomfortable cramping caused by periodic relaxation and vigorous contractions and are more common in subsequent pregnancies:
What is afterpains
200

Women should be warned that this vaccine is teratogenic, and that they must avoid pregnancy for 1 month after vaccination.

What is Rubella

200
Transient, self-limiting mood disorder that affects new mothers after childbirth:
What is postpartum blues
200
The appearance of slightly cyanotic hands and feet, is caused by vasomotor instability, capillary stasis, and a high hemoglobin level.
What is acrocynosis
200
Infant is noted to be small for gestational age with small eyes and a thin upper lip. The infant also is microcephalic. What do your findings indicate
What is Fetal Alcohol Syndrome
300

consists of blood and decidual and trophoblastic debris.

What is Lochia rubra

300

During this phase the mother assumes responsibility for her own care and shifts her attention to the infant

What is taking-hold

300
Most common postpartum infection. Signs include fever greater than 38 C, increased pulse, chills, anorexia, nausea, fatigue and lethargy, pelvic pain, uterine tenderness, and foul smelling profuse lochia
What is endometritis
300
Prevent gonorrheal and chlamydial infection of the infant’s eyes potentially acquired from the birth canal.
What is Ilotycin ophthalmic ointment
300
what complication is thought to be a result of high arterial blood oxygen level?
What is Retinopathy of Prematurity
400

Most serious condition to occur from bladder distention:

What is excessive uterine bleeding

400

On assessment a nurse finds a perineal pad that is heavily saturated. The nurse’s inital action is to

What is massage the patient fundus

400
Delayed return of the enlarged uterus to normal size and function, resulting in late postpartum bleeding
What is subinvolution
400
In the classification of newborns by gestational age and birth weight, the appropriate for gestational age
What is fall between the 10th and 90th percentiles for the infant’s age.
400
Clinical manifestation include: LGA, very plump, abundant vernix caseosa, plethora, listless and lethargic...
What is infant of diabetic mother
500

Pelvic floor exercises that will help to strengthen the perineal muscles and encourage healing:

What is Kegel exercises

500

Best treatment for a bottle-feeding mother with swollen, warm, and tender on palpation breast

What is applying ice packs for comfort.

500
On assessment, the nurse finds pain and tenderness in the patient extremities, along with warmth, redness, and hardness, likely indicate
What is thrombophlebitis
500
The reflex response to open the mouth to maintain an airway if the nose is obstructed appears in newborns at:
What is three weeks
500
The first step in providing care to an infant whose mother abused substance is:
What is Neonatal Abstinence Scoring
M
e
n
u